ANN MARTIN CENTER


Address: 470 El Paseo Dr, Oakland, CA 94603-3565
Phone: 5106367917

ANN MARTIN CENTER (NPI# 1952613812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952613812
Entity Type Organization
Organization Name ANN MARTIN CENTER
Other Organization Name MADISON PARK ACADEMY
Practice Address 470 El Paseo Dr
Oakland
CA 94603-3565
Mailing Address 1375 55th St
Emeryville
CA 94608-2609
Practice Telephone 5106367917
Mailing Telephone (510) 655-7880
Mailing Fax Number 5106553379
Enumeration Date 2010-07-08
Last Update Date 2017-11-29
Authorized Official Name DR. HASSE LEONARD-PAGEL (DIRECTOR OF CLINICAL PROGRAMS)
Authorized Official Telephone 5106557880
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 140000152 CA Agencies

Other Provider/Organization Names

Other Name Type Code
Madison Park Academy Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417217365 Ann Martin Center Community/Behavioral Health 401 Jones Ave, Oakland, CA 94603-1123 2012-05-25
1427318377 Ann Martin Center Community/Behavioral Health 3670 Penniman Ave, Oakland, CA 94619-1116 2012-05-25
1508126459 Ann Martin Center Community/Behavioral Health 915 Foothill Blvd, Oakland, CA 94606-3013 2012-05-25
1558620625 Ann Martin Center Community/Behavioral Health 3994 Burckhalter Ave, Oakland, CA 94605-2616 2012-05-10
1578829214 Ann Martin Center Community/Behavioral Health 7220 Krause Ave, Oakland, CA 94605-2380 2012-04-06
1124384862 Ann Martin Center Community/Behavioral Health 8755 Fontaine St, Oakland, CA 94605-4141 2012-04-06
1124229224 Ann Martin Center Counselor 4314 Piedmont Ave, Oakland, CA 94611 2007-05-29
1619409471 Ann Martin Center Community/Behavioral Health 1025 81st Ave, Oakland, CA 94621-2455 2017-03-31
1609327907 Ann Martin Center Community/Behavioral Health 2629 Harrison St, Oakland, CA 94612-3813 2016-10-21
1801345194 Ann Martin Center Community/Behavioral Health 444 Hegenberger Rd, Oakland, CA 94621-1418 2016-09-27

Office Location

Street Address 470 EL PASEO DR
City OAKLAND
State CA
Zip Code 94603-3565

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235694092 Kimberlyn Taylor Behavioral Analyst 11042 Robledo Dr, Oakland, CA 94603 2019-02-06
1114414315 Christopher Maurice Cain Community Health Worker 9925 International Blvd #5, Oakland, CA 94603 2018-04-13
1720508039 Jessie James King Jr. Counselor 9925 International Blvd Suite #5, 9925 International Blvd Suite #5, Oakland, CA 94603 2017-06-27
1619426475 Susana Obispo Counselor 10429 International Boulevard, Oakland, CA 94603 2016-09-22
1760764955 Paul E Rammer Marriage & Family Therapist 1523 Chandler Street, Oakland, CA 94603 2011-09-13
1447250998 East Oakland Obs Gyn Med Gp Inc Obstetrics & Gynecology 9925 International Blvd, Ste 1, Oakland, CA 94603 2005-07-27
1285184846 Sharrise Williams Counselor 10429 International Blvd, Oakland, CA 94603 2016-10-07
1659821213 Linna Hov Counselor 10429 International Blvd, Oakland, CA 94603 2016-10-07
1508148685 Kimberly Alston-stepnitz Counselor 9925 International Blvd, Oakland, CA 94603 2011-09-14
1699729426 Robert Scott Millard Physical Medicine & Rehabilitation 500 Arguello Street, Suite 100, Redwood City, CA 94603 2006-05-19
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679107056 Caliber Autism Care LLC Community/Behavioral Health 2604 Invitational Dr, Oakland, MI 48363-2455 2020-02-25
1346894532 Stars, Inc. Community/Behavioral Health 8000 Birch St, Oakland, CA 94621-2313 2019-07-26
1659923191 Stars, Inc. Community/Behavioral Health 915 Foothill Blvd., Oakland, CA 94606-3013 2019-07-15
1285195537 Diversity In Health Training Institute Community/Behavioral Health 310 8th St Ste 303, Oakland, CA 94607-4253 2019-03-28
1700362159 Options Recovery Services Community/Behavioral Health 1630 10th St, Oakland, CA 94607-1426 2018-07-18
1366930182 Options Recovery Services Community/Behavioral Health 614 Alice St, Oakland, CA 94607 2018-04-26
1447768866 The Alliance for Community Wellness Community/Behavioral Health 2369 84th Ave., Oakland, CA 94605 2018-01-19
1821501446 Options Recovery Services Community/Behavioral Health 1020 59th St, Oakland, CA 94608-2302 2017-11-06
1649783267 Options Recovery Services Community/Behavioral Health 1053 59th St, Oakland, CA 94608-2362 2017-11-06
1093228611 Options Recovery Services Community/Behavioral Health 5121 West St, Oakland, CA 94608-3253 2017-11-06
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Competitor

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City OAKLAND
Zip Code 94603

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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